Rhinoplasty: Q&A
Ask a QuestionIs a Spreader Graft Necessary to Fix Nasal Valve Collapse?
I had a previous rhinoplasty where a dorsal hump was removed leaving me with a collapsed internal nasal valve. The doctor said he would use a closed approach to fix my problems. He said he does not used spreader grafts, rather he uses another type of graft to support the sidewall of the nose. It seems that all of the articles I read say that this type of problem calls for a spreader graft. Is it unusual not to use one? Also would this graft would improve the crookedness of my nose as well?
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31 Doctor Answers |
Asked by
11704
in Lindenhurst
+3
Spreader grafts for nasal valve narrowing.
There are many ways to improve breathing when the cause is pinching or narrowing of the side walls of the nose. Spreader grafts are thin slivers of cartilage placed or sutured between the edge of the septum just below the skin and the flat cartilaginous plate supporting the side wall of the nose. Although spreader grafts are popular, they are not the only way. It is far easier to place them using an open approach. This is complicated surgery and you should get a second...
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Nasal Valve Collapse, Spreader versus Onlay Graft
The question you ask is simultaneously both simple and complicated. The essential truth is that both grafts will help with correction of a crooked nose and both will help with functional problems. However, there are subtle differences between the 2 options.
Difference #1: Approach
I do spreader grafts through a closed approach typically, but many surgeons will only place them using an open approach. If an open approach seems like too much surgery for a single graft, then many...
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Spreader Graft Needed in Rhinoplasty
In most cases, a spreader graft is not needed in primary rhinoplasty. However, I usually use it to correct internal nasal valve collapse after secondary rhinoplasty. It is also indicated for the deviated nose as well as correction of functional deformity from a secondary rhinoplasty, or if you want to widen the dorsal aesthetic lines. In most primary rhinoplasty patient cases, it is not necessary and does create a wider dorsum which is aesthetically unpleasing.
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Spreader Graft Often Used for Internal Nasal Valve Collapse
A collapsed internal nasal valve is often repaired with a spreader graft. I personally place these with and external approach but it can be done closed as well. A batten graft may be used as well. These are usuallly used to repair an external valve collapse. The terminology can be confusing and the surgery is quite specialized. If your surgeon is experienced trust their recommendation.
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Rhinoplasty procedure
It is not unusual to use spreader grafts for patients who have nasal valve collapse. These cartilage grafts can also be used to straighten the nose. It is difficult to correct this problem through a closed approach, and you may want to seek a second opinion.
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A Deviated Septum is not the only cause of Nasal Airway Obstruction.
It appears that you may have had some collapse of your internal nasal valve after the initial surgery. However, nasal airway obstruction may be due to a number of causes. A deviated septum, enlarged turbinates, or valve collapse are all culprits of poor nasal breathing. It is important to obtain a thorough exam by a rhinoplasty specialist to determine the cause of your poor nasal function.
Spreader grafts can help internal nasal valve collapse. However,...
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Rhinoplasty for Nasal Obstruction
The answer to both of your questions depends upon what is in fact causing the nasal obstruction. There are several different causes to this and can include a deviated septum, turbinate enlargement, or valve collapse. Valve collapse can further be classified into the external valve and the internal valve. A spreader graft will not help in all types of valve collapse, so you must have a thorough nasal examination by a nose specialist in order to determine this...
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Correction of internal valve collapse
Spreader grafts are the best (but not the only) way to correct internal valve collapse. It all depends on the anatomic findings in the inside of your nose. Does using breathe right strip help you? if yes, then that is very strong indication that you have internal valve collapse. Generally for very narrow internal valves (or collapse), spreader grafts placed via the open approach are recommended. Hope that is helpful, Dr. Vartanian
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Spreader grafts, rhinoplasty
Spreader grafts are great. They help people breathe by opening the internal nasal valve. Interestingly enough, the concept for breathe-rigth nasal strips is based on this idea. They also help support the middle portion of the nose, quite well I might add. All plastic surgeons that I know and have been trained by use them routinely.
Chicago Plastic Surgeon
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Nasal spreader grafts to improve breathing
Hi 11704 in Lindenhurst,
Rhinoplasty has many potential maneuvers to achieve desired results. In addition, every surgeon has different methods to accomplish the goal. Spreader grafts are commonly used to improve a narrowed internal angle. Spreader grafts may be placed via an endonasal (closed) approach, however, I think most rhinoplasty surgeons use an open approach. Your rhinoplasty surgeon may want to place alternate grafts to improve your nasal breathing and appearance, such as...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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